Complex penile prosthesis reservoir extraction: a case series.,International Journal of Impotence Research

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Complex penile prosthesis reservoir extraction: a case series.
International Journal of Impotence Research ( IF 2.8 ) Pub Date : 2019-04-25 , DOI: 10.1038/s41443-019-0145-8
Amit G Reddy ₁ , Peter N Tsambarlis ₁ , Christopher R Koller ₁ , Wayne J G Hellstrom ₁

Affiliation

Explantation of an inflatable penile prosthesis (IPP) reservoir in the setting of acute infection can be challenging. We identified three such cases of infection and simultaneous extraction of multiple reservoirs among patients with the most recent prosthetic surgeries performed between March 2016 and November 2018. These cases were reviewed with particular emphasis on preoperative and operative management. All three patients underwent successful simultaneous explantation of all retained hardware with subsequent clinical improvement in their clinical status. Prior to surgery, none of the patients were aware of the presence of more than one reservoir. All three patients recovered well post operatively. A subset of prosthetics patients have undergone multiple implant procedures at various sites. Due to the importance of retrieving all foreign material in the setting of acute infection, the authors advocate for a low threshold to obtain cross-sectional imaging to identify the tissue plane and laterality of any retained components, with particular emphasis on creating an operative plan for reservoir retrieval.

中文翻译：

复杂的阴茎假体储层提取：一个案例系列。

在急性感染的情况下，植入可膨胀的阴茎假体（IPP）可能是具有挑战性的。我们在2016年3月至2018年11月之间进行了最新的假肢手术的患者中，确定了三例此类感染病例，并同时提取了多个储层。对这些病例进行了回顾，特别强调术前和手术管理。所有三名患者都成功同时全部取出了保留的硬件，随后临床状况也得到了改善。手术前，没有患者意识到存在一个以上的水库。三例患者术后均恢复良好。一部分假肢患者已在各个部位进行了多次植入手术。

更新日期：2019-05-16

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